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South Dakota rates for HCPCS 69603

Revision mastoidectomy; resulting in radical mastoidectomy

Facilitymedian $2,951 · 10th–90th $1,288–$6,9180%20%10th90th$2,951Professionalmedian $1,738 · 10th–90th $1,202–$3,4670%10%10th90th$1,738$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,288.25 / $4,365.16 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,288.25 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,818.38 / $3,019.95 / $3,715.35
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,513.56 / $2,187.76 / $3,548.13
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $2,238.72 / $9,549.93
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,570.40 / $2,818.38 / $2,884.03
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,570.40 / $2,570.40 / $2,570.40
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,445.44 / $2,137.96 / $2,511.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,466.84 / $4,466.84 / $12,022.64
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,230.27 / $2,511.89 / $3,467.37
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,454.71 / $2,884.03 / $2,951.21